Active NPI
Catherine Louise Sukup
- Pharmacist
- Little Rock, AR
National Provider Identifier
1962002410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD14531
- Practice address
- 8801 Baseline Rd
Little Rock, AR 72209-5901 - Phone
- (501) 565-1164
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD14531 | AR | Primary |
Addresses
Primary practice location
8801 Baseline Rd
Little Rock, AR 72209-5901
Mailing address
30 Cypress Creek Dr
Cabot, AR 72023-8196
Phone (504) 616-1464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD14531 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1962002410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 CYPRESS CREEK DR",
"city": "CABOT",
"state": "AR",
"postal_code": "720238196",
"telephone_number": "504-616-1464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8801 BASELINE RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722095901",
"telephone_number": "501-565-1164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUKUP",
"first_name": "CATHERINE",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-26",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.